Customers Support and Direction Ltd

PURCHASIN SPECIALIST EMPLOYMENT APPLICATION FORM

PLEASE RETURN TO HR Department E-mail nyprocurreedb@csdlinternational.com

Be advised your application will not be considered if you leave the application columns blank. If you feel the
uestion or information sou!ht is not applicable" put #$% as a response. &e will con'rm the receipt of your online
application. (ou will also be sent an email acknowled!in! successful submission of your application. )or immediate
consideration" please 'll the %pplication form and email it back alon! with your resume$salary reuirements.
Section ! Persona" In#ormation
Fu"" Name
$ender

*ale )emale
Present
Address
#umber +treet ,ity +tate -ip

Home
P%one Ce"" P%one
Fa&
&hen
available.
Emai" A'e
T(pe o# )or*
desired
)ull-
/ime 0art-/ime ,ontract Sa"ar(
Desired +
Credit
Score
Date a,ai"a-"e #or
emp"o(ment
Are (ou a-"e to ma*e an additiona"
.o- #or commissions/
Do (ou %a,e
a dri,er0s
"icense/
(es #o
Do (ou
%a,e a
car/
(es #o
1i"" (ou )or*
o,ertime
i# as*ed/
(es #o
Are (ou a citi2en
o# t%e United
States/
Do (ou %a,e a
,a"id Dri,er3s
License/
Are (ou current"(
emp"o(ed/
Section 4 Emp"o(ment Histor(
P"ease 5"" t%is section i# (ou do not attac% (our Resume
(our present or most recent
employer
,ould we contact this person to !et more information about you1
%ddress.
+upervisor. ,ontact
number2s3.
/itle of position
held and duties
performed.
+tartin! salary. Endin! salary.
0revious employer.
,ould we contact this person to !et more information about you1
%ddress.
+upervisor. ,ontact
number2s3.
/itle of position
held and duties
performed.
+tartin! salary. Endin! salary.
0revious employer.
,ould we contact this person to !et more information about you1
%ddress.
+upervisor. ,ontact
number2s3.
/itle of position
held and duties
performed.
+tartin! salary. Endin! salary.
Section 6 Re#erences
4ive name" address and telephone number of three people to whom we may apply for information about your work" e5perience" skills.
263
273
283
/he information that I have provided on this application is accurate to the best of my knowled!e and may be veri'ed by the
,ompany or its a!ents. Fu"" Name
Date